Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,303.95 / $9,580.00 / $28,479.22	Facility		$1,303.95	$9,580.00	$28,479.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $15,141.00 / $22,609.00	Facility		$10,878.00	$15,141.00	$22,609.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,154.46 / $1,752.84 / $1,752.84	Facility		$1,154.46	$1,752.84	$1,752.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,114.27 / $3,639.27 / $5,870.02	Facility		$3,114.27	$3,639.27	$5,870.02
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,203.29 / $1,471.60 / $3,695.14	Facility		$1,203.29	$1,471.60	$3,695.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,303.95 / $8,791.00 / $17,200.00	Facility		$1,303.95	$8,791.00	$17,200.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,203.29 / $1,471.60 / $3,695.14	Facility		$1,203.29	$1,471.60	$3,695.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,384.19 / $3,668.00 / $4,336.68	Professional		$2,384.19	$3,668.00	$4,336.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27,770.10 / $27,770.10 / $27,770.10	Facility		$27,770.10	$27,770.10	$27,770.10
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $2,632.21 / $2,632.21 / $2,632.21	Facility	AS	$2,632.21	$2,632.21	$2,632.21
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00